Notice to ancillary providers who bill medical/pharmacy charges 

Ancillary providers who bill charges such as home infusion and injections should bill with the correct NPI/taxonomy combination for the medical provider type.  

For example, if you share an NPI with provider type 54 (pharmacy) and provider type 90 (DME) and are billing medical services, you should bill with the NPI/taxonomy combination registered as provider type 90. Services billed under provider type 54 will be denied.

Note that provider type 54 is not a billable provider type for medical services unless billing procedure code 99401 for vaccine counseling.  

If you have questions about this communication, please contact your Provider Relationship Management consultant or Provider Services at 855-661-2028.